Active NPIIndividual providerSole proprietor

Jacqueline Deeble, MD

General Practice in Randolph, Massachusetts

NPI Number1386917557
Practice location
33 Clark St, Randolph, MA 02368-3611
Fax
—
Last updated
February 17, 2012

Jacqueline Deeble is a General Practice based in Randolph, MA. Jacqueline Deeble practices in Randolph, MA and has the professional credentials of MD. The NPI Number for Jacqueline Deeble is 1386917557 and holds a License No. 018388 (PR). The current practice location address for Jacqueline Deeble is 33 Clark St, Randolph, MA 02368-3611 and can be reached out via phone at 781-249-5403.

Provider Profile Details

NPI Number
1386917557
Provider Name
Jacqueline Deeble
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
33 Clark St, Randolph, MA 02368-3611
Phone Number
781-249-5403
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 17, 2012
Last Update Date
February 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Clark St
Randolph, MA 02368-3611
Zip
02368-3611
Phone Number
781-249-5403
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
33 Clark St
Randolph, MA 02368-3611
City
Randolph
State
MA
Zip
02368-3611

License Information

License Number
018388
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline Deeble, MD?

The NPI number of Jacqueline Deeble, MD is 1386917557. It was assigned on February 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Deeble, MD?

Jacqueline Deeble, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 018388.

Where does Jacqueline Deeble, MD practice?

The practice location is 33 Clark St, Randolph, MA 02368-3611. The office can be reached at 781-249-5403 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386917557 directly on the NPPES registry website.

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